Roux-enY胃旁路术后胃残余穿孔1例

M. Ahmed, Sarina Koilpillai, Azeem R. Khan, Ehsan Rafiq, S. Carlan
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引用次数: 0

摘要

病态肥胖是世界范围内的主要健康问题,Roux-en-Y胃旁路手术(RYGB)是一种流行的手术治疗方法。一名40岁女性,RYGB后17年,同时出现症状性胃溃疡和急性胰腺炎。诊断困难,在药物治疗失败后,需要手术。因此,胃残体不容易通过内窥镜检查;在这个被排除的部分检测PUD是困难的。因此,替代方法,如剖腹探查或儿童内窥镜检查可能需要有效地诊断胃残余。
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A Rare Case of Perforated Gastric Remnant after Roux-enY Gastric Bypass
Morbid obesity is a major health problem worldwide and the Roux-en-Y gastric bypass (RYGB) is a popular surgical treatment. A 40 year old woman, 17 years post RYGB presented with concurrent symptomatic gastric ulcers and acute pancreatitis. The diagnosis was difficult and after failed medical therapy, surgery was required. The gastric remnant is not easily accessible by endoscopy thus; detecting PUD in this excluded segment is difficult. As a result, alternative methods, such as exploratory laparotomy or pediatric endoscopy may be required to effectively diagnose the gastric remnant.
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